Must result in written report including formulation of problems, tentative diagnosis, recommendations for treatment/services

Specific documentation of this service must identify the specific nationally standardized psychological assessment instruments used.

Group B Services

Mental Health and Case Management Services

Mental Health Services

Following MHA

Consistent with ITP

Face to face, video conference, telephone contact

Mental Health Services (cont)

Provided to:

Individuals

Families of individuals

Groups of individual consumers

For the primary benefit and well-being of the individual

Related to an assessed need and goal on the ITP

Mental Health Services (cont)

Services may be provided on-site or off-site, as indicated by the specific service

On-site: Location that is a certified provider site as described in Section 132.90 and the surrounding provider owned, leased or controlled property and buildings and adjacent parking areas. Services provided via telephone/video conference are on-site.

Off-site: Locations other than a certified provider site

Crisis Intervention Services

Activities to stabilize an individual in psychiatric crisis

Goal of immediate symptom reduction, stabilization, and restoration to a previous level of role functioning

May be provided by MHP with immediate access to QMHP

Crisis Intervention Services

Shall include an immediate preliminary assessment that includes written documentation in the clinical record of presenting symptoms and recommendations for remediation of the crisis.

Coordination and assistance with identification of individual strengths, resources, preferences and choices

Assistance with the identification of existing natural supports for development of a natural support team, and in building such a team

Assistance with the identification of risk factors related to relapse and development of relapse prevention plans and strategies

Examples of Community Support

Support and promotion of self-advocacy and participation in decision making, treatment and treatment planning

Support and consultation with individual/support system directed primarily to the well-being and benefit of the individual

Examples of Community Support

* Skill building in order to assist in development of functional, interpersonal, family, coping, and community living skills that are negatively impacted by the individual's mental illness

Community Support Is NOT:

Supervised Meals

"Book-end Billing"

General Milieu Time

Community Support Team (CST)

* Mental health and rehabilitation services and supports available 24 hours/day 7 days/week to decrease hospitalization and crisis episodes and increase community functioning

CST (cont)

Services are to be provided at time/location to accommodate individual needs

Client to staff ratio no greater than 18:1

More than one staff person shall be actively involved with each individual served

Team meetings at least once per week

CST eligibility

DHS/DMH requires authorization for CST

Criteria include:

Multiple and frequent psychiatric inpatient readmissions

Excessive use of crisis/emergency services

Chronic homelessness

Repeat arrests/incarcerations

CST Eligibility (cont)

History of inadequate follow-thru with treatment

High use of detox services

Medication resistance secondary to side effects

Treatment issues that have not responded to more traditional approaches and require coordinated interventions

CST eligibility (cont)

Risk of out of home placement

Any of the following within past 3 months:

Suicidal ideation/gesture

Ongoing inappropriate public behavior

Self harm or threats of harm to others

Significant cognitive impairment, behavioral or medical problems

CST Staffing Requirements

Team must be approved by public payor

Full time leader who is a QMHP

RSA and MHP working in sufficient capacity to meet the 18:1 ratio

At least one team member must be a Certified Recovery Support Specialist (CRSS) or Certified Family Partnership Professional (CFPP)

No fewer than 3 full time staff; no more than 6 FTEs totalling no more than 8 different staff

CST Service Exclusions

Cannot receive other types of Community Support except:

During periods of transition

While in crisis residential

Either of these exceptions requires authorization.

Assertive Community Treatment (ACT)

Based on evidence based practice

Intensive, integrated crisis treatment and rehabilitative support service

Provided by an interdisciplinary team which assumes responsibility for assisting client with all mental health treatment needs

ACT Requirements

Available 24 hrs/day, 7 days/wk with emergency response coverage that includes psychiatric coverage

Minimum of %75 of contacts in natural settings

Minimum of 3 contacts/wk for most individuals served

Team meetings a minimum of 4 days/wk

ACT Eligibility

ACT is for adults who require assertive outreach and support to remain connected with necessary mental health and support services, who have not benefited from traditional community mental health services/modes of delivery.